IndividualActive
Anissa Dickerson, CNM
NPI 1821351404 · Advanced Practice Midwife · Boston, MA
Provider details
- NPI number
- 1821351404
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 2278970 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
850 Harrison Ave
Yacc 5
Boston, MA 02118-4001
Phone: (617) 414-2080
Fax: (617) 414-2090
Approximate (ZIP-level) locationGet directions
Mailing address
720 Harrison Ave
Boston, MA 02118-2371
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2016-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.